Healthcare Provider Details

I. General information

NPI: 1891630109
Provider Name (Legal Business Name): CHIROPRACTIC HEALTH CENTER OF FOWLERVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W GRAND RIVER AVE
FOWLERVILLE MI
48836-5147
US

IV. Provider business mailing address

103 W GRAND RIVER AVE
FOWLERVILLE MI
48836-5147
US

V. Phone/Fax

Practice location:
  • Phone: 517-230-1751
  • Fax: 517-223-9278
Mailing address:
  • Phone: 517-230-1751
  • Fax: 517-223-9278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JOHN TERSIGNI
Title or Position: OWNER
Credential: D.C.
Phone: 517-230-1751